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題 名 | The Clinical Application of Transcutaneous Bilirubinometry in Full-Term Chinese Infants=經皮膚黃膽測定器在足月中國新生兒之臨床應用 |
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作 者 | 林毓志; 朱曉慧; 林其和; | 書刊名 | 中華民國小兒科醫學會雜誌 |
卷 期 | 34:2 民82.03-04 |
頁 次 | 頁69-76 |
分類號 | 417.517 |
關鍵詞 | 經皮膚; 黃膽測定器; 中國; 新生兒; |
語 文 | 英文(English) |
中文摘要 | 過去對於中國足月新生兒其黃膽隨時間演變的情況,很少有人加以探索。本研究為應用經皮膚黃膽測定器,對新生兒黃膽隨時間演變的情況加以探討。從民國78年4月1日至78年8月31日,在本院出生305例(男:女=175:130)未經照光治療的足月新生兒,利用經皮膚黃膽測定器,於出生的前6天中,連續每天對其黃膽情況作臨床評估。總共3217次在額頭及胸骨前的經皮膚黃膽測定指數與血清膽紅素值呈相當好之相關性。其中額頭及胸骨前的相關係數分別為r=0.82及r=0.86。利用此一良好之相關性,我們追蹤這些嬰兒黃膽變化情況,結果顯示在牛奶餵食組其額頭(16.3±3.0)及胸骨前(16.6±2.7)的經皮膚黃膽測定器指數,皆於嬰兒年齡78-84小時達到頂點。而混合餵食組其額頭及胸骨前的經皮膚黃膽測定器指數,分別於嬰兒年齡54-60小時(17.2±2.2)及84-90小時(16.6±2.6)達到頂點。此外,本研究中新生兒高膽紅素症的比例約為5.9%。且牛奶餵食組和混合餵食組其額頭及胸骨前之最高經皮膚黃膽測定器指數,在統計學上並無顯著之不同。同時利用ROC曲線(Receiver Operating Characteristic curve)加以評估,我們認為胸骨前的經皮膚黃膽測定器指數較額頭測定有更好的敏感性和特異性。因此,本研究有點結論:l)對於臨床上,早期新生兒黃膽症的診斷,經皮膚黃膽測定器實為一操作簡單、正確、可靠且無侵襲性的工具。2)中國新生兒的黃膽,約在出生後第3-4天達到最高點。3)中國新生兒黃膽的發生率較過去的報告為低,而此一現象產生的原因,則須作進一步探討。 |
英文摘要 | The pattern of jaundice in Chinese full-term newborns has seldom been explored. This study was to 1) investigate the correlation between transcutaneous bilirubin indices (TcB) and serum bilirubin levels; 2) use TcB to follow the pattern of jaundice in Chinese full-term newborns; and 3) compare the sensitivity and specificity of TcB measured from the forehead (TcB1), and mid-sternum (TcB2) by receiver operating characteristic curves (ROC curves). From April 1 to August 31, 1989, a total of 3217 TcB were obtained from 305 inborn full-term newborns (male 175, female 130) during their first 6 days of life. The correlation between serum bilirubin levels and TcB measured from the forehead (TcB1) and from the mid-sternum (TcB2) was good (r=0.82 and 0.86 respectively). For formula-fed infants, both TcB1 (16.3±3.0) and TcB2 (16.6±2.7) reached peak levels at 78-84 hours of age, while in mixed-fed infants, peak levels were noted at 54-60 and 84-90 hours for TcB1 (17.2±2.2) and TcB2 (16.6±2.6) respectively. The incidence of hyperbilirubinemia was 5.9 per cent. There were no differences in peak TcB levels between formula-fed and mixed-fed infants. The ROC curves suggested that TcB2 is better than TcB1 in sensitivity and specificity. It is concluded that TcB is a reliable device for monitoring jaundice in Chinese full-term newborns. Peak level of jaundice occurred at the third to fourth day of age. The incidence of hyperbilirubinemia in Chinese infants has decreased, for reasons which need further investigation. |
本系統中英文摘要資訊取自各篇刊載內容。